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Lower lobe pneumonia presenting as singultus (hiccups)
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| Stamatis Karakonstantis *, Sofia Pitsigavdaki, Dafni Korela, Despoina Galani |
| 2nd Department of Internal Medicine, General Hospital of Heraklion “Venizeleio-Pananeio”, Leoforos Knossou, Heraklion, Greece , stamkar2003@gmail.com |
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Abstract: (3874 Views) |
Background: Persistent hiccups can be a debilitating symptom and many such patients present to the emergency department seeking relief. A variety of serious conditions have been associated with persistent hiccups. Cases of pneumonia as a cause of hiccups have been rarely described.
Case presentation: A 79-year-old male patient presented to the hospital due to persistent hiccups for 4 days. Despite lack of new respiratory symptoms or fever, a chest x-ray demonstrated a left lower lobe consolidation, which was also confirmed with a chest CT. The patient was treated with levofloxacin and at 1-month follow-up hiccups had completely resolved, while a repeat chest CT demonstrated resolution of the consolidation.
Conclusions: The presentation of pneumonia in elderly patients may be atypical and may lack the symptoms and signs observed in younger patients. Hiccups may be the main presenting symptom of pneumonia. |
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| Keywords: hiccups, singultus, pneumonia, chlorpromazine, hypotension |
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Full-Text [PDF 216 kb]
(964 Downloads)
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Type of Study: case report |
Subject:
Internal
Received: 2017/07/29 | Accepted: 2018/01/22 | Published: 2018/10/1
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